Organization Active NPI

Texas Brain Injury Center, PLLC

  • Internal Medicine Physician
  • Cypress, TX
National Provider Identifier
1295577112
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEXAS BRAIN INJURY CENTER, PLLC
Practice address
10242 Greenhouse Rd Ste 1002
Cypress, TX 77433-1855
Phone
(408) 887-7890
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael DO, DO
Title
Owner
Phone
(408) 887-7890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10242 Greenhouse Rd Ste 1002
Cypress, TX 77433-1855

Mailing address

10242 Greenhouse Rd Ste 1002
Cypress, TX 77433-1855
Phone (408) 887-7890

National Provider Directory

National Provider Directory

Locations

10242 Greenhouse Rd
Ste 1002
Cypress, TX 77433
Phone (408) 887-7890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1295577112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10242 GREENHOUSE RD STE 1002",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331855",
            "telephone_number": "408-887-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10242 GREENHOUSE RD STE 1002",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331855",
            "telephone_number": "408-887-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS BRAIN INJURY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-887-7890",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.